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1. People who are faithful to church and demonstrate genuine enthusiasm for the things of God,
yet spiritually they “are a mile wide and an inch deep.” What are some positive and negative
characteristics of these people? How does someone become like this? What does it mean that
“they have dabbled in everything but disciplined in nothing? What would you need to do to
ensure this never describes you?
2. Look up verses: Matthew 4:2, Luke 2:46-47; John 13:2-6; 17:4. What does each say about
Jesus and His pursuit of the spiritual Disciplines.
3. Why can bible intake become a chore instead of a Discipline of joy? In what ways might
meditating on Scripture deepen your appreciation of God’s word?
4. In 2 Timothy 4:13, Paul asked Timothy to bring several items. What does Paul’s request
communicate to us about the importance of studying God’s word?
5. Do you agree with R.C. Sproul that laziness is the real Christians don’t study God’s Word
enough? Why or why not?
6. What, in your mind, are the differences between hearing, reading, and studying God’s Word?
7. How does Jesus’ confrontation with Satan (see Matthew 4:1-11) illustrate the power of
Scripture that is committed to memory?
8. What does psalm 119:24 say about guidance? How might you apply this truth to your busy
life?
9. What was the psalmist’s attitude toward scripture? (see all of psalm 119, but especially verse
97)
10. Name several differences between biblical meditation and other kinds of meditation?
11. Read Joshua 1:8 What did God command Joshua to do, and what did God promise would
happen as a result of Joshua’s obedience?
12. What do you think it means to meditate on God’s word throughout the day and night?
13. Which aspects of daily life distract you from concentrating your thoughts on God and His
wisdom, and what will you do to overcome these distractions?
14. As we meditate on Scripture, what happens to our minds? (see Romans 12:2)
15. Read James 1:22-25. When you read the Bible, do you find it easy to apply what you read to
your life? Why or why not?
16. a. Sometimes Christians use verses incorrectly to try to prove a certain point. Why is it so
important for people to understand the meaning of particular verses in context before applying
the verses to their lives?
b. Why is an overall Bible intake through hearing, reading, studying, memorizing and
meditating on Scripture so important.
17. Consider this statement; “Biblical meditation isn’t an end in itself; it is the key to putting the
truths and realities of Scripture into practice.” Do you agree? Why or why not?
18. What steps will you take to deal with the obstacles you expect to face as you begin to memorize
God’s word?
19. What three steps can you take this week to cultivate the Discipline of meditating on God’s
Word?
20. Statistical surveys and experience seem to agree that a large percentage of professing Christians
spend little time in sustained prayer, even though they know that prayer is a vital Christian
Discipline. Why might this be so?
21. How do you know when you haven’t been praying enough? What are your feelings and
concerns during those times?
22. What do Matthew 6:5-7,9; Luke 11:9 and 18:1 teach about Jesus’ view of prayer?
23. How might you apply Colossians 4:2 and 1 Thessalonians 5:17 in the midst of your busy
schedule?
24. 1Thessalonians 5:17 tells Christians to “pray without ceasing.” Spiritual Disciplines for the
Christian Life, page 82, says that “praying without ceasing means you never really stop conversing
with God; you simply have frequent interruptions.” Do you agree with this definition? Why or
why not?
25. Have you ever felt that prayer was more obligation than opportunity? If so, why? If not, why
not?
26. Why did Jesus pray in “desolate places” (Luke 5:16)
27. Why should our praying be governed by the truth of Scripture rather than by our feelings?
28. What role, according to John 16:13 does the Holy Spirit play in your prayer life?
29. How would you describe the relationship between biblical meditation and prayer? (See Psalm
5:1; 19:14, and reread the quote by William Bates on page 43.)
30. a. Thomas Manton, a Puritan preacher, wrote, “It is rashness to pray and not to meditate. What
we take in by the word we digest by meditation and let out by prayer.” What is your response to
this thought?
b. Why do you think more churches today don’t teach about the relationship between meditation
and prayer?
c. How was this lack of teaching affected the Church as a whole? Your life? The lives of others
you know?
31. What is the difference between learning “principles of prayer” and learning “phrases for
prayer”?
32. What book on prayer have you or others in your group found helpful? In what ways?
33. a. Andrew Murray wrote, “if you ask and receive not, it must be because there is something
amiss or wanting in the prayer.” Do you agree with this statement? Explain.
b. Discuss how the following may affect answers to prayer:
Impatience/lack of perseverance in prayer.
Selfish motives
Unrepentant sin in your life
Unwillingness to accept that God may answer in ways that are not obvious
Asking for things that are outside the will of God or don’t glorify Him
34. Think about a time when you really felt close to God in worship. What do you think made that
time so meaningful?
35. Do you agree that “Godliness without the worship of God is unthinkable? Why or why not?
36. Describe what it means to worship God in Vain. (See Matthew 15:8-9)
37. What do the following passages reveal about worship: John 20:28, Revelation 4:8, 5:12-13?
38. According to the following verses, in what ways has God revealed Himself to us so that we
might focus on Him?
John 1:1, 14; Hebrews 1:1-2
Romans 1:20
2 Timothy 3:16; 2 Peter 1:20-21
39. What does John 4:23-24 reveal about how God desires His people to worship?
40. What do you think this text means: “To worship God in spirit is to worship from the inside
out”?
41. What is the difference between worshipping God as He is revealed in the Bible and
worshipping Him as you might want Him to be?
42. One pastor has written, “where feelings for God are dead, worship is dead.” Why is
spontaneous affection of the heart so vital to genuine worship?
43. When you don’t have the feelings of worship, does that mean you should stop engaging in
forms of worship? Why or why not?
44. How can you “delight yourself in the Lord” in your worship (Psalm 37:4)
45. What are the dangers of worshipping just by feelings? Just by truths?
46. a. What is God’s view of corporate worship (See Hebrews 10:25)
b. How does this verse conflict with the common assumption that religion is an individual matter
only?
47. Consider carefully the comment by Geoffrey Thomas: “There is no way that those who neglect
secret worship can know communion with God in the public services of the Lord’s Day.” Do you
agree with this statement? Why or why not?
48. What happens in your life when you neglect the daily worship of God in private?
49. What does Christ’s willingness to meet with us privately in worship at any time reveal about
His character?
50. In what ways is it difficult to ask others for help in developing godliness through public and
private worship?
51. “He worships his work, works at his play, and plays at his worship’? If so, which part(s) do
you identify with? Be honest. How might your view of worship be improved.
52. Why do you think it seems easier to worship God one day a week instead of worshipping Him
seven days a week? Is one-day-a-week worship even possible? Explain your answer.
53. Why does God command us to evangelize?
54. Why do you think many Christians are afraid to evangelize? What are your fears about
evangelism?
55. According to Acts 1:8, in whose power are we to witness (as opposed to doing it in our own
power)?
56. What do the following verses revel about evangelism?
Luke 24:27
John 20:21
57. Why do you think God commands all His people to evangelize and not just those who find it
easy to present themselves and their beliefs to other people?
58. What does 1 Peter 2:9 say about God’s people?
59. We read in John 9 about the blind man Jesus healed. What is striking about his words to the
Pharisees?
60. According to this John 9 passage, when should we witness?
61. Have you ever been afraid to share Christ? If so, when? Why were you afraid?
62. With which evangelistic approach(es) are you most comfortable? Which ones intimidate you?
63. Discuss with your group the kinds if responses – positive and negative – you received when
you shared the good news of Christ with others.
64. Researcher George Barna says that most Christians who witness to others come away feeling
like failures. So, since they don’t like to fail, they redirect their efforts into spiritual activities in
which they are more likely to be satisfied and successful. Have you found this to be true? Why or
why not?
65. Are you confident that God has given you Acts 1:8 power? Why or why not?
66. What does 2 Cor. 2:14-17 say about God’s power through us? About our impact on nonChristians?
67. What does Colossians 4:5-6 say about how to approach evangelism? Why is such preparation
so important?
68. What is your estimate of the number of times you have heard the gospel in your life. In a
paragraph or so, write the gospel message a person must hear to be saved. Discuss with your group
what is necessary for a presentation of the gospel to be clear and complete.
69. Consider ways you might begin to make evangelism a Spiritual Discipline. What steps can you
take this week to build deeper relationships with unbelievers?
70. It is said that every Christian is at every moment a testimony – good or bad – to the power of
Jesus Christ. What implication does this truth have in evangelism?
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multiple choice, culturally competent, writing homework help
TEXTBOOK Cultural
Diversity in Health and Illness
8th Edition, 2013
ISBN-13: 9780132840064
AUTHOR ...
multiple choice, culturally competent, writing homework help
TEXTBOOK Cultural
Diversity in Health and Illness
8th Edition, 2013
ISBN-13: 9780132840064
AUTHOR Rachel
E. Spector
PUBLSIHER Pearson
Multiple Choice
Questions
1. The nurse desires
to become more culturally competent when providing care to patients from
non-English-
speaking cultures. Which action would the nurse take to achieve this self-
expectation?
a. Commit to a time-consuming journey
b. Find a seminar on cultural competence
c. Talk to people from different cultures
d. Attend a festival from a different culture
2. The staff
development educator is analyzing ways to incorporate cultural competency
concepts
in continuing
education programs. How will the educator explain the concept of cultural
competency to staff?
a. Philosophy
b. Condition
c. Theory
d. Fad
3. A health care
organization is planning continuing education for all staff on culturally and
linguistically
appropriate service delivery. Which category of culturally and linguistically
appropriate services
in health care will this action support?
a. Fundamentals of culturally competent care
b. Speaking of culturally competent care
c. Structuring culturally competent care
d. Manage the dynamics of difference
4. The nurse is
unable to locate an interpreter to support a patient from a
non-English-speaking
culture. The patient
asks a family member to interpret for the staff. What would the nurse do to
ensure culturally
and linguistically appropriate services for this patient?
a. Use sign language.
b. Write the questions down for the patient to answer.
c. Do nothing until an interpreter can be located.
d. Use the family member as an interpreter until a non–family member
can be located.
5. A patient from a
non-English-speaking culture comes into the health clinic seeking care. The
nurse is unable to
determine the patient’s primary language. What should the nurse do?
a. Notify Security
b. Encourage the patient to seek care elsewhere
c. Ask for help to determine the patient’s primary language
d. Contact a homeless shelter
6. In a non-English-speaking patient’s medical
records, it is indicated that he has no family.
However, a large
group of people stating that they are the patient’s family have just arrived to
the critical care
unit. What impact does this miscommunication have on the patient’s care?
a. Increase the cost
b. Poor decision making
c. Improve the outcomes
d. Enhance therapeutic communication
7. The nurse working
in a Joint Commission–accredited organization is admitting a patient from a
non-English- speaking
culture. Which action supports the Joint Commission principle of
effective
communication?
a. Manage the dynamics of difference
b. Value diversity
c. Assess communication needs
d. Adapt to diversity
8. The nurse
determines that a patient is in the process of acculturation. What did the
nurse
assess in this
patient?
a. Americanization of the patient’s name
b. Engaging in activities with members of the family’s preferred social
group
c. Speaking the family’s native language
d. Living away from the family of origin
9. A patient born in
a European country speaks excellent American English. The nurse realizes that
this patient has
achieved which type of assimilation?
a. Marital
b. Cultural
c. Primary structural
d. Secondary structural
10. The nurse is
planning care for an older patient. What will the nurse take into consideration
to
reduce generational
conflict?
a. Events that occurred when the patient was 10 years of age
b. Ethnocultural status of the nurse
c. Age of the nurse
d. All of the above.
11. A seminal event in the boomer generation that can
still elicit comments today is the question:
a. “Where were you when John F. Kennedy was shot?”
b. “Do you remember Pearl Harbor?”
c. “What were you doing on September 11, 2001?”
d. “How did the Challenger tragedy affect you?”
12. The staff
development instructor is planning a seminar that focuses on the variables
leading to
generational
conflict. What will the instructor include in this content?
a. Decade of birth
b. Generation in the United States
c. Class
d. All of the above.
13. A health care
provider comments that a patient is “too old to take care of herself” and needs
to “let a man make
decisions for her.” The nurse recognizes that this health care provider is
demonstrating which
misanthropic feelings?
a. Ethnocentrism
b. Sexism
c. Racism
d. Heterosexism
14. According to the
2010 Census, 40.3 million people are aged 65 and over. What are the
long-term
implications for the health of this group?
a. Providing health care that is focused on gerontological needs
b. Developing medications to prolong life at any cost
c. Providing health insurance for all age groups
d. Developing systems to provide health care only to those older
citizens who remain
healthy
15. A patient, an
immigrant from another country, is waiting to be seen in the Emergency
Department. What
difficulties is this patient dealing with since coming to a new country?
a. Learning a new language
b. Adapting to a new climate
c. Eating new foods
d. All of the above.
16. The nurse notes that a larger number of
foreign-born patients are being seen in the hospital.
From which leading
country are the majority of foreign-born, legal permanent residents?
a. Europe
b. Mexico
c. South America
d. None of the above.
17. Legal permanent
residents tend to initially settle in urban areas. What can be inferred from
this?
a. Employment may be found but will probably be in lesser-paying jobs
b. Unemployment will not be a concern
c. Employment is easy to obtain in urban areas
d. Income earning potential is higher
18. The nurse
desires employment in a metropolitan area with a high percentage of
foreign-born
legal residents. In
which areas would the nurse consider employment?
a. New York City
b. Los Angeles
c. Miami
d. All of the above.
19. The nurse is
trying to determine if a patient is a refugee. Which characteristics would the
patient need to
fulfill in order to be classified as a refugee?
a. Person is outside the country of nationality
b. Person is unable to return to the country of nationality because of
persecution
c. Person is unable to return to the country of nationality because of
fear of persecution
d. All of the above.
20. What disease
prevention and health promotion determinants would the nurse review when
assessing a patient?
a. Learn the patient’s lifestyle
b. Understand the patient’s environment
c. Identify how to measure progress
d. a and b only
21. Besides being important public health issues and
motivating people to action, what purpose do
the Healthy People
2020 objectives serve?
a. Measure the impact of prevention activities
b. Provide monetary worth to the nation
c. Replace other tools
d. Identify people needing secondary health services
22. Why would health
care providers refer to Healthy People 2020 when providing patient care?
a. It serves as a monitoring system that evaluates the health of all
citizens.
b. It supports health policies that provide monetary incentives to
states who reach the
benchmark goals.
c. It provides a plan to continue to improve the health of everyone in
the United States.
d. It is mandated legislation that will result in a healthier
population by 2020.
23. While reviewing
the Healthy People 2020 document, the nurse identifies what as being the
main objectives of
the program?
a. Ensuring that all Americans have one physical each year
b. Emphasize an ecological approach to disease prevention and health
promotion.
c. Ensuring that all Americans have health insurance
d. Eliminating childhood diseases
24. Within the
Healthy People 2020 document, what characteristics contribute to health
disparity
in the United
States?
a. Race
b. Religion
c. Gender
d. All of the above.
25. What is the
Healthy People 2020 goal for health disparities?
a. Achieve health equity, eliminate disparities, and improve the health
of all groups.
b. Reduce health disparities among Americans.
c. Eliminate health disparities among Americans.
d. Recognize health disparities among elderly.
Multiple Choice
Questions
1. While assessing a patient from the Jewish culture,
the nurse learns that the patient believes that an illness is being caused by
another soul. What is this health belief considered?
a. Aberglobin
b. Kayn aynhoreh
c. Szatan
d. Dybbuk
2. While caring for an infant of Puerto Rican descent,
the nurse sees a black amulet on a chain on the wrist of the baby’s right hand.
What should the nurse do with the amulet?
a. Remove the amulet
b. Leave it on the baby’s wrist
c. Ask that the amulet be removed until the baby is older
d. Move it to the baby’s ankle
3. During an assessment, a patient tells the nurse,
“An onion a day keeps everyone away.” How does this philosophy protect health?
a. Protects the person from coming in contact with those who might be
ill
b. Affirms the belief in the power of onions to prevent disease
c. Recognizes the special antibiotic properties contained within onions
d. Advertises that onions have special healing abilities
4. While caring for a patient from the Chinese
culture, the nurse learns that the patient has a specific practice that follows
yin and yang. What impact will this have on the patient’s dietary intake?
a. There are specific foods for specific purposes
b. Some foods are only eaten at different times of the year
c. The patient will eat only specified proportions of food
d. Identifies if foods should be eaten hot or cold
5. Which patient statement reflects a spiritual belief
that defines illness?
a. ”I am being punished for breaking a religious code”
b. “It is a necessary part of my religious culture”
c. “I failed to wear special amulets to ward it off”
d. “I am sick because I violated dietary practices”
6. During a health
history, a patient tells the nurse about following traditional epidemiological
practices. What is the purpose of these practices?
a. Uses folk medicine herbal remedies
b. Used as a part of the patient’s religion
c. Used to cure an illness
d. Used to preserve a heritage
7. The nurse learns that a patient used to follow
homeopathic medicine but now only uses allopathic medicine approaches. What is
the significance of allopathic medicine?
a. Is practiced only where it is accepted
b. Accepts other forms of therapy as valid for treating disease
c. Empirical science and scientific methods for treating disease
d. Encompasses different treatment modalities within its framework
8. A patient with a progressive neurological disease
wants to visit shrines in the United States to offer prayers for healing. Which
shrines would be available for the patient to visit?
a. The Tomb of Menachem Mendel Schneerson
b. Shrine of Our Lady of San Juan
c. Shrine of our Lord of Esquipulas
d. All of the above.
9. A patient with terminal cancer is planning a trip
to Lourdes, France, the site of a revered Roman Catholic shrine. What is the
significance of visiting this shrine?
a. Receiving a cure through a miracle
b. Being able to live a long life
c. Becoming more prosperous
d. Gaining insight about the cause of disease
10. What would be alternative treatment modalities
used during an illness?
a. Willingness to seek a second medical opinion
b. Consultation of a healer outside the medical establishment
c. Refusal to allow any medical treatment to be performed
d. Strict adherence to the prescribed medical regimen
11. A patient adheres to
the teachings of Seventh-day Adventist. What practice is followed by
those within this religion?
a. Abstinence from alcohol, coffee, and tea
b. Avoid pork
c. Fasting once a month
d. Follow a vegetarian diet
12. A patient tells the nurse that no blood or blood
products will be accepted as a form of health
treatment. This patient is most likely a member of
which religion?
a. Jehovah’s Witness
b. Roman Catholic
c. Church of Jesus Christ of Latter-day Saints
d. Christian Science
13. A patient follows the teachings of Christian
Science and will not take any medications, but for
which health problem will medications be used by
members of this religion?
a. Antibiotics
b. Chemotherapy to treat cancer
c. Immunizations to comply with civil law
d. Narcotics for pain relief
14. Which actions are considered to be health
restoration practices for individuals of Eastern
European Jewish heritage?
a. Chicken soup
b. Glass of wine
c. Alcohol massage
d. All of the above.
15. A patient tells the nurse about using cod liver
oil every day. Which heritages utilize cod liver oil
as a health maintenance practice?
a. English Episcopal
b. English Baptist
c. Norwegian Lutheran
d. a and c only
16. Which health
restoration practice for a cold would the nurse assess in a patient of English
Catholic heritage?
a. Rubbing the chest with Vicks
b. Drinking honey and vinegar
c. Gargling with water and vinegar
d. Drinking warm milk
17. During an assessment, the nurse asks a patient of
Irish Catholic heritage to identify a health
protection practice that is ingested. What practice
will this patient most likely follow?
a. Senna tea
b. Yeast
c. Wine
d. Hot peppermint tea
18. A patient of Swedish-American Protestant descent
wants a specific HEALTH protection
intervention to maintain throat health. Which action
will the patient most likely request?
a. Gargling with salt and taking honey with milk
b. Having the throat blessed on St. Blaise Day
c. Ingesting baking soda
d. Staying in a steamy bathroom when the throat is sore
19. A patient tells the nurse that Father John’s
Medicine is used as a HEALTH protection practice
from November to May. Individuals from which heritage
uses this remedy?
a. Italian-American Catholics
b. English-American Episcopalians
c. Canadian Catholics
d. Native American Baptists
20. The cost of prescription medications, an indicator
of health care costs, has skyrocketed from
$2.7
million in 1960 to $234.1 billion in 2008. What would be a reason for the
increase in
prescription medication costs?
a. Technology costs associated with new drug development
b. Health insurance covers all medication costs
c. People want more prescription medications for all of their illnesses
d. The majority of prescription medications are used by an increasingly
aging population
21. The nurse is reviewing the costs associated with
providing care for specific health problems in
2006. Which health problems increased since 1999?
a. Respiratory intubation and mechanical ventilation
b. Percutaneous transluminal coronary angioplasty (PTCA)
c. Cardiac pacemaker
d. All of the above.
22. What was the focus of health care during the early
part of the twentieth century?
a. Discovery of external cardiac pacing
b. Maternal and child health
c. Implementing Medicare
d. Reducing the impact of HIV/AIDS
23. What was the impact of infrastructure on the
health care industry in the middle of the
twentieth century?
a. Development of the foundation for today’s costly tests and
treatments
b. Restriction of public immunizations and medications for communicable
diseases
c. Social policy planning for health care expenditures
d. Decrease of hospital building and local resources for health care
24. What impact did social and health policy have on
the health care system in the latter part of
the twentieth century?
a. Affordable health care for all citizens
b. The majority of health care being paid for through government
subsidies
c. Exploding health care costs and the challenges to reform and control
them
d. Health care costs decreasing as a result of social and health policy
25. What was the goal of health care reform efforts in
the 1990s?
a. Making health care affordable, comprehensive, and accessible
b. Allocating health resources based on priority needs
c. Providing government-subsidized health care
d. Ensuring all citizens had health insurance
Multiple Choice
Questions
1. The nurse is observing a healing ceremony performed
by people of the American Indian culture. What is a characteristic of this
ceremony?
a. Sound
b. Quiet
c. Herbal teas
d. Hallucinogenic plants
2. A patient of the American Indian culture tells the
nurse that the medicine man is consulted when an illness develops. How does a
person become a medicine man?
a. Know the interrelationships between people, the earth, and the
universe
b. Understand the ways of plants and animals
c. Perform special ceremonies
d. All of the above.
3. What is the difference between the modern physician
and the medicine man when determining the cause of an illness?
a. The medicine man looks for the physical cause of the problem
b. The medicine man looks for the spiritual cause of the problem
c. The medicine man studies the patient’s past medical history to
determine the cause of
the illness
d. The medicine man studies the dietary practices of the person being
seen
4. In which American Indian tribe are meditation and
herbs used to create a trance to provide the vision of the evil that causes an
illness?
a. Hopi
b. Sioux
c. Navajo
d. Cherokee
5. Which Navajo American Indian divination method will
women practice to diagnose the cause of a disease?
a. Singing
b. Listening
c. Motion in the hand
d. Stargazing
6. What is the purpose of
sand paintings when diagnosing illness in the Navajo American Indian culture?
a. Creates symbolic representations of the client and family
b. Ensures that appropriate payment is made by the family
c. Provides an atmosphere of calm for the medicine man
d. Determines the cause and treatment of the illness
7. The nurse is conducting a medication history with a
patient from the Oneida American Indian culture. Which remedies would the nurse
include as part of this history?
a. Witch hazel
b. Comfrey
c. Skunk oil
d. All of the above.
8. A patient that is of the American Indian culture is
waiting to be seen in a non-Indian Health Service facility. What concern might
this patient have about receiving health care through this route?
a. Conflict between his or her perception of the illness and what the
physician diagnoses
b. Easier to receive medical care through emergency departments rather
than private
physicians
c. Receive better health care from mainstream medical services
d. Concern that medical insurance won’t cover all the medical costs
9. Which action would the nurse take when assessing a
patient of American Indian culture?
a. Remaining quiet and recognizing the importance of nonverbal
communication to seek
information
b. Asking detailed questions regarding the presenting symptoms
c. Asking indirect questions about the reason for seeking health care
d. Ensuring that no one beyond the medical provider and the client
discuss what has
brought the client to seek care
10. Which is a concept of holism in traditional
Chinese medicine?
a. Integration of the body with the external environment
b. Energy fields that create health or disease
c. Local pathology as separate from the body
d. Harmonic balance that creates illness
11. Which action would a
patient, who practices Ayurvedic medicine, take to reestablish harmony
and balance in the body?
a. Sit in the sun
b. Massage
c. Do yoga and meditation
d. Ingest a substance to cleanse the body of substances that cause
disease
12. The nurse is planning care for a group of
community members who follow Ayurveda medicine.
What beliefs about this form of health care would the
nurse need to keep in mind while
planning this care?
a. All things in the universe are joined together.
b. Human beings contain elements that can be found in the universe.
c. All people are born in a state of balance.
d. All of the above.
13. A patient of the Asian culture tells the nurse
that an alteration in yin and yang will lead to
disease. Which variable can affect the body’s yin and
yang?
a. Clothing
b. The weather
c. Social class
d. Improper food preparation
14. Why does the Chinese physician focus on palpating
a patient’s pulse?
a. It is considered the storehouse of the blood.
b. It indicates a specific treatment.
c. It can help to refine a diagnosis.
d. It determines the time of death.
15. A belief of Ayurvedic medicine is the concept of
doshas. What is a characteristic of this
concept?
a. Combine space and air to control nutritional preferences
b. Blend fire and water to balance mental capacities
c. Are constantly formed and reformed by food, activity, and bodily
processes
d. Use water and earth to regulate hormonal balance
16. While assessing the health history of a patient
who is an Asian/Pacific Islander, what will the
nurse identify as a leading cause of death for people
from this culture?
a. Malignant neoplasms
b. Influenza and pneumonia
c. Alzheimer’s disease
d. Chronic lower respiratory diseases
17. Why does poor health
continue to occur among immigrant Asian populations?
a. Poor working environments and crowded living conditions
b. Refusal of Western medicine to treat Asian immigrants
c. Inability to tolerate Western medications
d. Low number of health care workers of Asian origin
18. How would a patient from the Black culture treat
poison ivy?
a. Sprinkling crushed bluestone powder on the affected area
b. Placing a mixture of garlic, onions, and parsley on the site
c. Placing clay in a dark leaf over the affected area
d. Rubbing Vicks Vaporub on the area
19. In the Black culture, what would be used to treat
colds?
a. Sassafras tea
b. Hot lemon water with honey
c. Hot toddy made of tea, honey, lemon, peppermint, and alcohol
d. All of the above.
20. Why are folk remedies still used today in the
Black community?
a. Tradition of quality care and treatment by healers
b. Acknowledgement of the African heritage
c. Rituals associated with folk remedies
d. Close proximity of hospitals in the community
21. What would be a benefit of following the African
food tradition of geophagy?
a. Dirt is high in calcium
b. Pica is an accepted cultural practice
c. Red clay is rich in iron
d. Starch is sweet and dry
22. For which reasons might a patient of the Black
culture and of the Muslin religion refuse insulin
to treat diabetes mellitus?
a. Because any injectable medication is forbidden
b. If it has a pork base
c. Because it implies the person has not led a holy life
d. During Ramadan
23. Which is a health
statistic of significance to Black or African Americans when compared to all
races?
a. A lower incidence of breast cancer
b. Lower percentages of low birth weight infants
c. A lower crude birth rate
d. Lower male death rates from homicide
24. Who does the nurse recognize as being the leading
authority figure within the Black familial
structure?
a. Female
b. Minister
c. Male
d. Oldest adult child
25. Why would some patients of the Black culture
resent using health clinics for care?
a. Prescription medications are given out only to those seen first.
b. Cheaper accessible health care is regarded as demeaning.
c. A day’s work may be lost in waiting to be seen by a physician.
d. There are not enough clinics to focus on Black health problems.
Multiple Choice Questions
1. A patient from the Mexican heritage relates using a
curandero for health care needs. What are the characteristics of this type of
healer?
a. Considered to be a religious figure
b. Was born as a healer
c. Taught the ways of healing through herbs
d. All of the above.
2. In the Mexican health care system, what is the
scope of practice of the partera?
a. The care given is confined to the pregnant woman
b. Only provides physical care
c. Acts alone without doing other consultations or referrals
d. Does not participate in labor and delivery
3. During a medical history with a patient from Puerto
Rico, what preparations will the nurse need to include?
a. Those obtained from a botanica
b. Those obtained from a botanical center
c. Those obtained from a healer
d. Those obtained from a pharmacy
4. Which is a dilemma encountered by health care
providers when trying to accommodate a patient of the Mexican culture’s desire
to maintain hot and cold food preferences?
a. Avoiding all foods that contain certain spices
b. Understanding which foods the patient considers hot and cold
c. Obtaining the unusual foods native to a Mexican patient’s diet
d. Ensuring that all medications are taken with specific foods
5. Where might a patient of Puerto Rican heritage seek
help when experiencing signs of a mental illness?
a. Milagros
b. Curanderismo
c. Santeria
d. Partera
6. What is a significant
factor when caring for health problems of patients within the Hispanic culture?
a. Lack of Spanish-speaking health care providers impeding appropriate
care delivery
b. Failure to highlight common chronic diseases among Hispanics in
local media
c. Overall population is young with a high birthrate compared to the
general population
d. Use of folk remedies creating cultural dissonance with the medical
establishment
7. What would the combination of a young population,
high birthrates, and lower socioeconomic status contribute to in the Hispanic
population?
a. Higher incidence of births to women under age 18
b. Lower birth weight infants
c. Higher percentage of first trimester prenatal care
d. Higher infant mortality rate
8. Which health problem does the nurse identify as
being a higher risk for the patient from the Hispanic culture when compared to
the general population?
a. Septicemia
b. Unintentional injuries
c. Chronic lower respiratory diseases
d. Alzheimer’s disease
9. What would the nurse infer about the incidence of
lung cancer being lower among Hispanic women versus that of the general population?
a. Hispanic women are not genetically predisposed to lung cancer.
b. Hispanic women are healthier than the general population.
c. Hispanic women have better preventive health practices.
d. Hispanic women are less likely to smoke.
10. What might a patient of German descent used to
treat a stomachache?
a. Drink peppermint tea
b. Stop eating for at least 24 hours
c. Take black draught
d. Eat chicken soup
11. Which actions might a patient of German descent
use to treat a cough?
a. Rub goose fat on the chest
b. Eating honey and milk
c. Drinking rum
d. All of the above.
12. When caring for a
postoperative wound at home, what would a patient of German descent tend
to use?
a. Kerosene
b. Iodine
c. Salves and liniments
d. Onion compresses
13. For what would a patient of German descent use
cloves?
a. Headache
b. Rheumatism
c. Toothache
d. Fever
14. What would a patient of Italian descent tell the
nurse is the cause of pneumonia?
a. Moving air in the form of drafts
b. Eating food that was not nutritious
c. Improper balance of fluids
d. Not dressing properly
15. What will the nurse assess as an important
component of healing for a patient of Italian
descent?
a. Religious faith in God
b. Use of garlic and olive oil in tonics
c. Wearing black when a family member is ill
d. Eating pasta at every meal
16. What will a patient of Polish descent tell the
nurse is used to treat a cough?
a. Taking garlic oil
b. Goose grease rubbed on the throat
c. Drinking hot lemonade with whiskey
d. A mustard plaster on the chest
17. What will a patient of Polish descent use to treat
a burn?
a. Aloe vera
b. Salt pork
c. Carbolic salve
d. Turpentine and liniment
18. For what would a
patient of Polish descent tell the nurse that paregoric is used?
a. Gas
b. Diarrhea
c. Indigestion
d. Cramps
19. In which ways does the current United States
health care system create barriers to individuals
from different cultures?
a. Expectation to select a physician from a list
b. Cost of treatments and tests
c. Violation of cultural beliefs and practices
d. All of the above.
20. How would the use of patient advocates bridge the
gap of inadequate numbers of health care
providers representing culturally diverse population
groups?
a. Speak to patients in their native language
b. Coordinate services to meet the patients’ needs
c. Resolve problems
d. All of the above.
21. The health care administrator is identifying ways
to improve communication with non-English-
speaking patients. Which languages would the
administrator target as being spoken by hospital
employees?
a. Russian
b. Chinese
c. Spanish
d. None of the above.
22. The nurse is experiencing collisions when
attempting to improve cultural competency. What
types of collisions is this nurse experiencing?
a. Meeting dense cultural barriers
b. Sabotaged efforts
c. Unexpected hills
d. a and b only
23. Two nurses are overhead talking about their
experiences with cultural competency. Which
experience would be considered an unexpected positive
event?
a. Deep love of life and people
b. Role of a healer within a culture
c. Learning a foreign language
d. Being an advocate for funding
24. What self-observation
does the nurse make that indicates that the nurse is “on the road” to
cultural competency?
a. Socialized by society
b. Individual culture and religion
c. Adhering to ways to protect health that are consistent with the
dominant culture
d. Avoiding the use of amulets
25. What action would a nurse take to learn more about
the different cultures represented in the
community?
a. Walk through the community
b. Prepare a guide sheet with a list of herbs
c. Recognize hot–cold imbalances
d. Recognize folk diseases TEXTBOOK ONLY .... ... DON'T WASTE MY AND YOURS TIME WITHOUT USING TEXTBOOK..ONLY AND ONLY TEXTBOOK ..... THANKShca_340_multiple_choice_questions.docx
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multiple choice, culturally competent, writing homework help
TEXTBOOK Cultural
Diversity in Health and Illness
8th Edition, 2013
ISBN-13: 9780132840064
AUTHOR ...
multiple choice, culturally competent, writing homework help
TEXTBOOK Cultural
Diversity in Health and Illness
8th Edition, 2013
ISBN-13: 9780132840064
AUTHOR Rachel
E. Spector
PUBLSIHER Pearson
Multiple Choice
Questions
1. The nurse desires
to become more culturally competent when providing care to patients from
non-English-
speaking cultures. Which action would the nurse take to achieve this self-
expectation?
a. Commit to a time-consuming journey
b. Find a seminar on cultural competence
c. Talk to people from different cultures
d. Attend a festival from a different culture
2. The staff
development educator is analyzing ways to incorporate cultural competency
concepts
in continuing
education programs. How will the educator explain the concept of cultural
competency to staff?
a. Philosophy
b. Condition
c. Theory
d. Fad
3. A health care
organization is planning continuing education for all staff on culturally and
linguistically
appropriate service delivery. Which category of culturally and linguistically
appropriate services
in health care will this action support?
a. Fundamentals of culturally competent care
b. Speaking of culturally competent care
c. Structuring culturally competent care
d. Manage the dynamics of difference
4. The nurse is
unable to locate an interpreter to support a patient from a
non-English-speaking
culture. The patient
asks a family member to interpret for the staff. What would the nurse do to
ensure culturally
and linguistically appropriate services for this patient?
a. Use sign language.
b. Write the questions down for the patient to answer.
c. Do nothing until an interpreter can be located.
d. Use the family member as an interpreter until a non–family member
can be located.
5. A patient from a
non-English-speaking culture comes into the health clinic seeking care. The
nurse is unable to
determine the patient’s primary language. What should the nurse do?
a. Notify Security
b. Encourage the patient to seek care elsewhere
c. Ask for help to determine the patient’s primary language
d. Contact a homeless shelter
6. In a non-English-speaking patient’s medical
records, it is indicated that he has no family.
However, a large
group of people stating that they are the patient’s family have just arrived to
the critical care
unit. What impact does this miscommunication have on the patient’s care?
a. Increase the cost
b. Poor decision making
c. Improve the outcomes
d. Enhance therapeutic communication
7. The nurse working
in a Joint Commission–accredited organization is admitting a patient from a
non-English- speaking
culture. Which action supports the Joint Commission principle of
effective
communication?
a. Manage the dynamics of difference
b. Value diversity
c. Assess communication needs
d. Adapt to diversity
8. The nurse
determines that a patient is in the process of acculturation. What did the
nurse
assess in this
patient?
a. Americanization of the patient’s name
b. Engaging in activities with members of the family’s preferred social
group
c. Speaking the family’s native language
d. Living away from the family of origin
9. A patient born in
a European country speaks excellent American English. The nurse realizes that
this patient has
achieved which type of assimilation?
a. Marital
b. Cultural
c. Primary structural
d. Secondary structural
10. The nurse is
planning care for an older patient. What will the nurse take into consideration
to
reduce generational
conflict?
a. Events that occurred when the patient was 10 years of age
b. Ethnocultural status of the nurse
c. Age of the nurse
d. All of the above.
11. A seminal event in the boomer generation that can
still elicit comments today is the question:
a. “Where were you when John F. Kennedy was shot?”
b. “Do you remember Pearl Harbor?”
c. “What were you doing on September 11, 2001?”
d. “How did the Challenger tragedy affect you?”
12. The staff
development instructor is planning a seminar that focuses on the variables
leading to
generational
conflict. What will the instructor include in this content?
a. Decade of birth
b. Generation in the United States
c. Class
d. All of the above.
13. A health care
provider comments that a patient is “too old to take care of herself” and needs
to “let a man make
decisions for her.” The nurse recognizes that this health care provider is
demonstrating which
misanthropic feelings?
a. Ethnocentrism
b. Sexism
c. Racism
d. Heterosexism
14. According to the
2010 Census, 40.3 million people are aged 65 and over. What are the
long-term
implications for the health of this group?
a. Providing health care that is focused on gerontological needs
b. Developing medications to prolong life at any cost
c. Providing health insurance for all age groups
d. Developing systems to provide health care only to those older
citizens who remain
healthy
15. A patient, an
immigrant from another country, is waiting to be seen in the Emergency
Department. What
difficulties is this patient dealing with since coming to a new country?
a. Learning a new language
b. Adapting to a new climate
c. Eating new foods
d. All of the above.
16. The nurse notes that a larger number of
foreign-born patients are being seen in the hospital.
From which leading
country are the majority of foreign-born, legal permanent residents?
a. Europe
b. Mexico
c. South America
d. None of the above.
17. Legal permanent
residents tend to initially settle in urban areas. What can be inferred from
this?
a. Employment may be found but will probably be in lesser-paying jobs
b. Unemployment will not be a concern
c. Employment is easy to obtain in urban areas
d. Income earning potential is higher
18. The nurse
desires employment in a metropolitan area with a high percentage of
foreign-born
legal residents. In
which areas would the nurse consider employment?
a. New York City
b. Los Angeles
c. Miami
d. All of the above.
19. The nurse is
trying to determine if a patient is a refugee. Which characteristics would the
patient need to
fulfill in order to be classified as a refugee?
a. Person is outside the country of nationality
b. Person is unable to return to the country of nationality because of
persecution
c. Person is unable to return to the country of nationality because of
fear of persecution
d. All of the above.
20. What disease
prevention and health promotion determinants would the nurse review when
assessing a patient?
a. Learn the patient’s lifestyle
b. Understand the patient’s environment
c. Identify how to measure progress
d. a and b only
21. Besides being important public health issues and
motivating people to action, what purpose do
the Healthy People
2020 objectives serve?
a. Measure the impact of prevention activities
b. Provide monetary worth to the nation
c. Replace other tools
d. Identify people needing secondary health services
22. Why would health
care providers refer to Healthy People 2020 when providing patient care?
a. It serves as a monitoring system that evaluates the health of all
citizens.
b. It supports health policies that provide monetary incentives to
states who reach the
benchmark goals.
c. It provides a plan to continue to improve the health of everyone in
the United States.
d. It is mandated legislation that will result in a healthier
population by 2020.
23. While reviewing
the Healthy People 2020 document, the nurse identifies what as being the
main objectives of
the program?
a. Ensuring that all Americans have one physical each year
b. Emphasize an ecological approach to disease prevention and health
promotion.
c. Ensuring that all Americans have health insurance
d. Eliminating childhood diseases
24. Within the
Healthy People 2020 document, what characteristics contribute to health
disparity
in the United
States?
a. Race
b. Religion
c. Gender
d. All of the above.
25. What is the
Healthy People 2020 goal for health disparities?
a. Achieve health equity, eliminate disparities, and improve the health
of all groups.
b. Reduce health disparities among Americans.
c. Eliminate health disparities among Americans.
d. Recognize health disparities among elderly.
Multiple Choice
Questions
1. While assessing a patient from the Jewish culture,
the nurse learns that the patient believes that an illness is being caused by
another soul. What is this health belief considered?
a. Aberglobin
b. Kayn aynhoreh
c. Szatan
d. Dybbuk
2. While caring for an infant of Puerto Rican descent,
the nurse sees a black amulet on a chain on the wrist of the baby’s right hand.
What should the nurse do with the amulet?
a. Remove the amulet
b. Leave it on the baby’s wrist
c. Ask that the amulet be removed until the baby is older
d. Move it to the baby’s ankle
3. During an assessment, a patient tells the nurse,
“An onion a day keeps everyone away.” How does this philosophy protect health?
a. Protects the person from coming in contact with those who might be
ill
b. Affirms the belief in the power of onions to prevent disease
c. Recognizes the special antibiotic properties contained within onions
d. Advertises that onions have special healing abilities
4. While caring for a patient from the Chinese
culture, the nurse learns that the patient has a specific practice that follows
yin and yang. What impact will this have on the patient’s dietary intake?
a. There are specific foods for specific purposes
b. Some foods are only eaten at different times of the year
c. The patient will eat only specified proportions of food
d. Identifies if foods should be eaten hot or cold
5. Which patient statement reflects a spiritual belief
that defines illness?
a. ”I am being punished for breaking a religious code”
b. “It is a necessary part of my religious culture”
c. “I failed to wear special amulets to ward it off”
d. “I am sick because I violated dietary practices”
6. During a health
history, a patient tells the nurse about following traditional epidemiological
practices. What is the purpose of these practices?
a. Uses folk medicine herbal remedies
b. Used as a part of the patient’s religion
c. Used to cure an illness
d. Used to preserve a heritage
7. The nurse learns that a patient used to follow
homeopathic medicine but now only uses allopathic medicine approaches. What is
the significance of allopathic medicine?
a. Is practiced only where it is accepted
b. Accepts other forms of therapy as valid for treating disease
c. Empirical science and scientific methods for treating disease
d. Encompasses different treatment modalities within its framework
8. A patient with a progressive neurological disease
wants to visit shrines in the United States to offer prayers for healing. Which
shrines would be available for the patient to visit?
a. The Tomb of Menachem Mendel Schneerson
b. Shrine of Our Lady of San Juan
c. Shrine of our Lord of Esquipulas
d. All of the above.
9. A patient with terminal cancer is planning a trip
to Lourdes, France, the site of a revered Roman Catholic shrine. What is the
significance of visiting this shrine?
a. Receiving a cure through a miracle
b. Being able to live a long life
c. Becoming more prosperous
d. Gaining insight about the cause of disease
10. What would be alternative treatment modalities
used during an illness?
a. Willingness to seek a second medical opinion
b. Consultation of a healer outside the medical establishment
c. Refusal to allow any medical treatment to be performed
d. Strict adherence to the prescribed medical regimen
11. A patient adheres to
the teachings of Seventh-day Adventist. What practice is followed by
those within this religion?
a. Abstinence from alcohol, coffee, and tea
b. Avoid pork
c. Fasting once a month
d. Follow a vegetarian diet
12. A patient tells the nurse that no blood or blood
products will be accepted as a form of health
treatment. This patient is most likely a member of
which religion?
a. Jehovah’s Witness
b. Roman Catholic
c. Church of Jesus Christ of Latter-day Saints
d. Christian Science
13. A patient follows the teachings of Christian
Science and will not take any medications, but for
which health problem will medications be used by
members of this religion?
a. Antibiotics
b. Chemotherapy to treat cancer
c. Immunizations to comply with civil law
d. Narcotics for pain relief
14. Which actions are considered to be health
restoration practices for individuals of Eastern
European Jewish heritage?
a. Chicken soup
b. Glass of wine
c. Alcohol massage
d. All of the above.
15. A patient tells the nurse about using cod liver
oil every day. Which heritages utilize cod liver oil
as a health maintenance practice?
a. English Episcopal
b. English Baptist
c. Norwegian Lutheran
d. a and c only
16. Which health
restoration practice for a cold would the nurse assess in a patient of English
Catholic heritage?
a. Rubbing the chest with Vicks
b. Drinking honey and vinegar
c. Gargling with water and vinegar
d. Drinking warm milk
17. During an assessment, the nurse asks a patient of
Irish Catholic heritage to identify a health
protection practice that is ingested. What practice
will this patient most likely follow?
a. Senna tea
b. Yeast
c. Wine
d. Hot peppermint tea
18. A patient of Swedish-American Protestant descent
wants a specific HEALTH protection
intervention to maintain throat health. Which action
will the patient most likely request?
a. Gargling with salt and taking honey with milk
b. Having the throat blessed on St. Blaise Day
c. Ingesting baking soda
d. Staying in a steamy bathroom when the throat is sore
19. A patient tells the nurse that Father John’s
Medicine is used as a HEALTH protection practice
from November to May. Individuals from which heritage
uses this remedy?
a. Italian-American Catholics
b. English-American Episcopalians
c. Canadian Catholics
d. Native American Baptists
20. The cost of prescription medications, an indicator
of health care costs, has skyrocketed from
$2.7
million in 1960 to $234.1 billion in 2008. What would be a reason for the
increase in
prescription medication costs?
a. Technology costs associated with new drug development
b. Health insurance covers all medication costs
c. People want more prescription medications for all of their illnesses
d. The majority of prescription medications are used by an increasingly
aging population
21. The nurse is reviewing the costs associated with
providing care for specific health problems in
2006. Which health problems increased since 1999?
a. Respiratory intubation and mechanical ventilation
b. Percutaneous transluminal coronary angioplasty (PTCA)
c. Cardiac pacemaker
d. All of the above.
22. What was the focus of health care during the early
part of the twentieth century?
a. Discovery of external cardiac pacing
b. Maternal and child health
c. Implementing Medicare
d. Reducing the impact of HIV/AIDS
23. What was the impact of infrastructure on the
health care industry in the middle of the
twentieth century?
a. Development of the foundation for today’s costly tests and
treatments
b. Restriction of public immunizations and medications for communicable
diseases
c. Social policy planning for health care expenditures
d. Decrease of hospital building and local resources for health care
24. What impact did social and health policy have on
the health care system in the latter part of
the twentieth century?
a. Affordable health care for all citizens
b. The majority of health care being paid for through government
subsidies
c. Exploding health care costs and the challenges to reform and control
them
d. Health care costs decreasing as a result of social and health policy
25. What was the goal of health care reform efforts in
the 1990s?
a. Making health care affordable, comprehensive, and accessible
b. Allocating health resources based on priority needs
c. Providing government-subsidized health care
d. Ensuring all citizens had health insurance
Multiple Choice
Questions
1. The nurse is observing a healing ceremony performed
by people of the American Indian culture. What is a characteristic of this
ceremony?
a. Sound
b. Quiet
c. Herbal teas
d. Hallucinogenic plants
2. A patient of the American Indian culture tells the
nurse that the medicine man is consulted when an illness develops. How does a
person become a medicine man?
a. Know the interrelationships between people, the earth, and the
universe
b. Understand the ways of plants and animals
c. Perform special ceremonies
d. All of the above.
3. What is the difference between the modern physician
and the medicine man when determining the cause of an illness?
a. The medicine man looks for the physical cause of the problem
b. The medicine man looks for the spiritual cause of the problem
c. The medicine man studies the patient’s past medical history to
determine the cause of
the illness
d. The medicine man studies the dietary practices of the person being
seen
4. In which American Indian tribe are meditation and
herbs used to create a trance to provide the vision of the evil that causes an
illness?
a. Hopi
b. Sioux
c. Navajo
d. Cherokee
5. Which Navajo American Indian divination method will
women practice to diagnose the cause of a disease?
a. Singing
b. Listening
c. Motion in the hand
d. Stargazing
6. What is the purpose of
sand paintings when diagnosing illness in the Navajo American Indian culture?
a. Creates symbolic representations of the client and family
b. Ensures that appropriate payment is made by the family
c. Provides an atmosphere of calm for the medicine man
d. Determines the cause and treatment of the illness
7. The nurse is conducting a medication history with a
patient from the Oneida American Indian culture. Which remedies would the nurse
include as part of this history?
a. Witch hazel
b. Comfrey
c. Skunk oil
d. All of the above.
8. A patient that is of the American Indian culture is
waiting to be seen in a non-Indian Health Service facility. What concern might
this patient have about receiving health care through this route?
a. Conflict between his or her perception of the illness and what the
physician diagnoses
b. Easier to receive medical care through emergency departments rather
than private
physicians
c. Receive better health care from mainstream medical services
d. Concern that medical insurance won’t cover all the medical costs
9. Which action would the nurse take when assessing a
patient of American Indian culture?
a. Remaining quiet and recognizing the importance of nonverbal
communication to seek
information
b. Asking detailed questions regarding the presenting symptoms
c. Asking indirect questions about the reason for seeking health care
d. Ensuring that no one beyond the medical provider and the client
discuss what has
brought the client to seek care
10. Which is a concept of holism in traditional
Chinese medicine?
a. Integration of the body with the external environment
b. Energy fields that create health or disease
c. Local pathology as separate from the body
d. Harmonic balance that creates illness
11. Which action would a
patient, who practices Ayurvedic medicine, take to reestablish harmony
and balance in the body?
a. Sit in the sun
b. Massage
c. Do yoga and meditation
d. Ingest a substance to cleanse the body of substances that cause
disease
12. The nurse is planning care for a group of
community members who follow Ayurveda medicine.
What beliefs about this form of health care would the
nurse need to keep in mind while
planning this care?
a. All things in the universe are joined together.
b. Human beings contain elements that can be found in the universe.
c. All people are born in a state of balance.
d. All of the above.
13. A patient of the Asian culture tells the nurse
that an alteration in yin and yang will lead to
disease. Which variable can affect the body’s yin and
yang?
a. Clothing
b. The weather
c. Social class
d. Improper food preparation
14. Why does the Chinese physician focus on palpating
a patient’s pulse?
a. It is considered the storehouse of the blood.
b. It indicates a specific treatment.
c. It can help to refine a diagnosis.
d. It determines the time of death.
15. A belief of Ayurvedic medicine is the concept of
doshas. What is a characteristic of this
concept?
a. Combine space and air to control nutritional preferences
b. Blend fire and water to balance mental capacities
c. Are constantly formed and reformed by food, activity, and bodily
processes
d. Use water and earth to regulate hormonal balance
16. While assessing the health history of a patient
who is an Asian/Pacific Islander, what will the
nurse identify as a leading cause of death for people
from this culture?
a. Malignant neoplasms
b. Influenza and pneumonia
c. Alzheimer’s disease
d. Chronic lower respiratory diseases
17. Why does poor health
continue to occur among immigrant Asian populations?
a. Poor working environments and crowded living conditions
b. Refusal of Western medicine to treat Asian immigrants
c. Inability to tolerate Western medications
d. Low number of health care workers of Asian origin
18. How would a patient from the Black culture treat
poison ivy?
a. Sprinkling crushed bluestone powder on the affected area
b. Placing a mixture of garlic, onions, and parsley on the site
c. Placing clay in a dark leaf over the affected area
d. Rubbing Vicks Vaporub on the area
19. In the Black culture, what would be used to treat
colds?
a. Sassafras tea
b. Hot lemon water with honey
c. Hot toddy made of tea, honey, lemon, peppermint, and alcohol
d. All of the above.
20. Why are folk remedies still used today in the
Black community?
a. Tradition of quality care and treatment by healers
b. Acknowledgement of the African heritage
c. Rituals associated with folk remedies
d. Close proximity of hospitals in the community
21. What would be a benefit of following the African
food tradition of geophagy?
a. Dirt is high in calcium
b. Pica is an accepted cultural practice
c. Red clay is rich in iron
d. Starch is sweet and dry
22. For which reasons might a patient of the Black
culture and of the Muslin religion refuse insulin
to treat diabetes mellitus?
a. Because any injectable medication is forbidden
b. If it has a pork base
c. Because it implies the person has not led a holy life
d. During Ramadan
23. Which is a health
statistic of significance to Black or African Americans when compared to all
races?
a. A lower incidence of breast cancer
b. Lower percentages of low birth weight infants
c. A lower crude birth rate
d. Lower male death rates from homicide
24. Who does the nurse recognize as being the leading
authority figure within the Black familial
structure?
a. Female
b. Minister
c. Male
d. Oldest adult child
25. Why would some patients of the Black culture
resent using health clinics for care?
a. Prescription medications are given out only to those seen first.
b. Cheaper accessible health care is regarded as demeaning.
c. A day’s work may be lost in waiting to be seen by a physician.
d. There are not enough clinics to focus on Black health problems.
Multiple Choice Questions
1. A patient from the Mexican heritage relates using a
curandero for health care needs. What are the characteristics of this type of
healer?
a. Considered to be a religious figure
b. Was born as a healer
c. Taught the ways of healing through herbs
d. All of the above.
2. In the Mexican health care system, what is the
scope of practice of the partera?
a. The care given is confined to the pregnant woman
b. Only provides physical care
c. Acts alone without doing other consultations or referrals
d. Does not participate in labor and delivery
3. During a medical history with a patient from Puerto
Rico, what preparations will the nurse need to include?
a. Those obtained from a botanica
b. Those obtained from a botanical center
c. Those obtained from a healer
d. Those obtained from a pharmacy
4. Which is a dilemma encountered by health care
providers when trying to accommodate a patient of the Mexican culture’s desire
to maintain hot and cold food preferences?
a. Avoiding all foods that contain certain spices
b. Understanding which foods the patient considers hot and cold
c. Obtaining the unusual foods native to a Mexican patient’s diet
d. Ensuring that all medications are taken with specific foods
5. Where might a patient of Puerto Rican heritage seek
help when experiencing signs of a mental illness?
a. Milagros
b. Curanderismo
c. Santeria
d. Partera
6. What is a significant
factor when caring for health problems of patients within the Hispanic culture?
a. Lack of Spanish-speaking health care providers impeding appropriate
care delivery
b. Failure to highlight common chronic diseases among Hispanics in
local media
c. Overall population is young with a high birthrate compared to the
general population
d. Use of folk remedies creating cultural dissonance with the medical
establishment
7. What would the combination of a young population,
high birthrates, and lower socioeconomic status contribute to in the Hispanic
population?
a. Higher incidence of births to women under age 18
b. Lower birth weight infants
c. Higher percentage of first trimester prenatal care
d. Higher infant mortality rate
8. Which health problem does the nurse identify as
being a higher risk for the patient from the Hispanic culture when compared to
the general population?
a. Septicemia
b. Unintentional injuries
c. Chronic lower respiratory diseases
d. Alzheimer’s disease
9. What would the nurse infer about the incidence of
lung cancer being lower among Hispanic women versus that of the general population?
a. Hispanic women are not genetically predisposed to lung cancer.
b. Hispanic women are healthier than the general population.
c. Hispanic women have better preventive health practices.
d. Hispanic women are less likely to smoke.
10. What might a patient of German descent used to
treat a stomachache?
a. Drink peppermint tea
b. Stop eating for at least 24 hours
c. Take black draught
d. Eat chicken soup
11. Which actions might a patient of German descent
use to treat a cough?
a. Rub goose fat on the chest
b. Eating honey and milk
c. Drinking rum
d. All of the above.
12. When caring for a
postoperative wound at home, what would a patient of German descent tend
to use?
a. Kerosene
b. Iodine
c. Salves and liniments
d. Onion compresses
13. For what would a patient of German descent use
cloves?
a. Headache
b. Rheumatism
c. Toothache
d. Fever
14. What would a patient of Italian descent tell the
nurse is the cause of pneumonia?
a. Moving air in the form of drafts
b. Eating food that was not nutritious
c. Improper balance of fluids
d. Not dressing properly
15. What will the nurse assess as an important
component of healing for a patient of Italian
descent?
a. Religious faith in God
b. Use of garlic and olive oil in tonics
c. Wearing black when a family member is ill
d. Eating pasta at every meal
16. What will a patient of Polish descent tell the
nurse is used to treat a cough?
a. Taking garlic oil
b. Goose grease rubbed on the throat
c. Drinking hot lemonade with whiskey
d. A mustard plaster on the chest
17. What will a patient of Polish descent use to treat
a burn?
a. Aloe vera
b. Salt pork
c. Carbolic salve
d. Turpentine and liniment
18. For what would a
patient of Polish descent tell the nurse that paregoric is used?
a. Gas
b. Diarrhea
c. Indigestion
d. Cramps
19. In which ways does the current United States
health care system create barriers to individuals
from different cultures?
a. Expectation to select a physician from a list
b. Cost of treatments and tests
c. Violation of cultural beliefs and practices
d. All of the above.
20. How would the use of patient advocates bridge the
gap of inadequate numbers of health care
providers representing culturally diverse population
groups?
a. Speak to patients in their native language
b. Coordinate services to meet the patients’ needs
c. Resolve problems
d. All of the above.
21. The health care administrator is identifying ways
to improve communication with non-English-
speaking patients. Which languages would the
administrator target as being spoken by hospital
employees?
a. Russian
b. Chinese
c. Spanish
d. None of the above.
22. The nurse is experiencing collisions when
attempting to improve cultural competency. What
types of collisions is this nurse experiencing?
a. Meeting dense cultural barriers
b. Sabotaged efforts
c. Unexpected hills
d. a and b only
23. Two nurses are overhead talking about their
experiences with cultural competency. Which
experience would be considered an unexpected positive
event?
a. Deep love of life and people
b. Role of a healer within a culture
c. Learning a foreign language
d. Being an advocate for funding
24. What self-observation
does the nurse make that indicates that the nurse is “on the road” to
cultural competency?
a. Socialized by society
b. Individual culture and religion
c. Adhering to ways to protect health that are consistent with the
dominant culture
d. Avoiding the use of amulets
25. What action would a nurse take to learn more about
the different cultures represented in the
community?
a. Walk through the community
b. Prepare a guide sheet with a list of herbs
c. Recognize hot–cold imbalances
d. Recognize folk diseases TEXTBOOK ONLY .... ... DON'T WASTE MY AND YOURS TIME WITHOUT USING TEXTBOOK..ONLY AND ONLY TEXTBOOK ..... THANKShca_340_multiple_choice_questions.docx
Envision Time in the Future Discussion
Class Assignment: Envision a time in the future when patients' healthcare will be guided by their personal genetic profile ...
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Class Assignment: Envision a time in the future when patients' healthcare will be guided by their personal genetic profile (their human genome). Discuss: 1. What will the future be like? 2. What will it look like? I encourage you to go beyond what you think is realistic and imagine the most extreme or seemingly exaggerated possibilities.Discuss how advances in genetic testing and profiling will play a major role in shaping how technology is used as a healthcare tool in the future.300 words.
NUR 514 Module 6 Nursing Case Study
CASE: L.T. is a 62-year-old female patient who consulted to the clinic for abdominal discomfort, vague abdominal pain in l ...
NUR 514 Module 6 Nursing Case Study
CASE: L.T. is a 62-year-old female patient who consulted to the clinic for abdominal discomfort, vague abdominal pain in lower abdomen, constipation and low to moderated pain with sexual intercourse. She is post-menopausal and her last visit to her OB/GYN doctor was two years ago.She was at the local Urgent care clinic last month and was discharge with OTC medications for constipation and follow up with PCP. During your physical exam you notice discomfort at deep abdominal palpation in left lower quadrant. On bi-manual pelvic examination you notice a mass of about 4 cm x 3 cm, nodular and with limited mobility on the left lower abdomen. QUESTIONS ON THE CASE: Develop the management plan (pharmacological and nonpharmacological).Discuss the appropriate diagnostic testing for the patientDiscuss differential diagnoses with ICD 10 numbers for each.Base on the International Federation of Gynecology and Obstetrics (FIGO) give treatment examples for a patient with a Stage IIB Ovarian Cancer.answer the specific question on the table above. Then, continue to discuss the 3 topics listed below for your case:An effective health assessment incorporates not only physiological parameters; please suggest other parameters that should be considered and included on health assessments to reach maximal health potential on individuals.Name the different family developmental stages and give examples of each one.Describe family structure and function and the relationship with health care.Submission Instructions:Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.
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